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髋臼盂唇重建:技术与结果综述

Acetabular Labral Reconstruction: Review of Techniques and Outcomes.

作者信息

Rosenthal Reece M, Featherall Joseph, Parkes Chad W, Khalil Ameen Z, Genuario James W, Maak Travis G, Aoki Stephen K

机构信息

Department of Orthopaedics, University of Utah Health, Salt Lake City, UT, USA.

Steadman Hawkins Clinic, University of Colorado, Denver, CO, USA.

出版信息

Curr Rev Musculoskelet Med. 2023 Oct;16(10):470-479. doi: 10.1007/s12178-023-09856-w. Epub 2023 Jul 26.

Abstract

PURPOSE OF REVIEW

To analyze advances in labral reconstruction, and to discuss the literature relating to efficacy, outcomes, and technical considerations of labral reconstruction.

RECENT FINDINGS

The available evidence suggests that labral reconstruction is a safe and effective procedure that can improve pain and function in patients with severe and/or complex labral tears. The superiority of labral reconstruction over labral repair is uncertain, and it remains unclear what graft type and technique should be used in labral reconstructions. Labral reconstruction assists in restoring the function of the labrum of the hip. It consistently restores stability of the hip joint and demonstrates good clinical outcomes at follow-up. The optimal graft type, technique, and extent are still debated, and more research is needed. Ultimately, despite this uncertainty, labral reconstruction is proving to be a valuable tool for hip preservation specialists.

摘要

综述目的

分析髋臼盂唇重建的进展,并讨论与髋臼盂唇重建的疗效、结果和技术考量相关的文献。

最新发现

现有证据表明,髋臼盂唇重建是一种安全有效的手术,可改善严重和/或复杂髋臼盂唇撕裂患者的疼痛和功能。髋臼盂唇重建相对于髋臼盂唇修复的优越性尚不确定,髋臼盂唇重建应使用何种移植物类型和技术仍不清楚。髋臼盂唇重建有助于恢复髋关节盂唇的功能。它能持续恢复髋关节的稳定性,并在随访中显示出良好的临床效果。最佳移植物类型、技术和范围仍存在争议,需要更多研究。最终,尽管存在这种不确定性,但髋臼盂唇重建已被证明是髋关节保留专家的一项有价值的工具。

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